Individual
JESSICA ANDREA MALAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, M.A.
Contact information
Practice address
1305 E VINE ST, LODI, CA 95240-3179
(209) 331-7000
Mailing address
1305 E VINE ST, LODI, CA 95240-3179
(209) 331-7000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
50038
CA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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